三体的长头转移到靠近的腰部,以在关节位症中进行积极的肘部曲
Stephanie A Nulty1,2, Ann Van Heest3,4, Andrew G Georgiadis3,4
1Department of Orthopaedic Surgery, University of Arizona-Phoenix, Phoenix, AZ, USA.
概括
三肌肌移动可以恢复患有关节位症的儿童的肘部曲. 这种手术技术通过利用三肌的长头来保持肘部延伸.
科学领域:
- 儿科整形外科 儿科整形外科
- 手术重建手术重建的方法
- 神经肌肉疾病 神经肌肉疾病
背景情况:
- 患有 Amyoplastic Arthrogryposis 的儿童由于缺少肌瘤,往往缺乏积极的肘部曲.
- 这种缺陷显著影响上肢功能和日常活动.
研究的目的:
- 描述三肌长头转移的手术技术,以改善肌瘤儿童的肘部曲.
- 要突出关键的技术考量,并提出一个案例,以长期的后续行动.
主要方法:
- 手术将三肌的长头移至近端的飞腰部.
- 维护神经血管足骨,并仔细剖析周围的神经.
- 文件包括外科医生的视角高清视频.
主要成果:
- 改善了6岁的患有骨髓质质变异症的患者的主动和被动肘部曲.
- 持续的功能改善在2年的随访.
- 证明了转移的肌的选择性运动控制,以便曲.
结论:
- 长头 triceps 转移是一个有效的程序,以恢复肘部曲在患有肌性关节炎的儿童.
- 这种技术可以保持肘部延伸功能.
- 仔细的患者选择和细致的手术技术对于成功的结果至关重要.
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